QuestionTwo days ago i noticed a loud grinding noise with labored breathing in the left area of my chest and rib area. I am a 28 yr old female who does pilates and yoga for about an hour 3 days on with 1 to 2 days rest with only brisk walking. I noticed it while doing an exercise that requires squatting in an outward plea position holding the abs in and twisting from side to side only using the upper body and core with hips neutral. When i twist to the right i hear only grinding with a very uncomfortable feeling and while twisting to the left i hear the grinding and notice a breathing difference. The only way to describe it is if you think of a balloon with some pressure on it. The grinding seems to go coordinate along with the sensation of air being forced out of the lung without me trying to breath out. I have never before felt this in my 28 yrs and im concerned maybe that i fracture or bruised my ribs. There is no bruising in the area. The only noticeable difference that i have seen is that my one or maybe 2 ribs seem to JUT out a little more then the right and that it feels tender. DO you have any idea what this is and how i may have done this? Is this permanent? Is it a lifelong issue? Can i ever exercise again without injuring the area or making in worse? Anything you know that can help me would be appreciated. Thank you.
Answerlabored breathing , grinding noise , chest/ rib area pain , 'one or maybe 2 ribs seem to JUT out a little more then the right and that it feels tender'
Hello Rachael,
Sorry to hear of your pain.
First: If you are having severe- moderate- problems breathing- visit the emergency room, see your family MD for evaluation. Obviously--- breathing is basic to life.
If this has been with you for a while, or is not worsening, or seems to come and go, or is something you can 'live with', then it is not an emergency.
From your description, it does not sound like an emergency, but I have to get that precautionary paragraph out of the way.
You state: 'one or maybe 2 ribs seem to JUT out a little more then the right and that it feels tender', you have chest/ rib pain, you actively exercise- twist- rotate- stretch your torso,,,,
Perhaps you have a costochondritis, perhaps you have an intercostal muscle sprained/strained. perhaps you have a subluxated rib or two, perhaps a pectoral muscle strain/sprain.
You need a Doctor of Chiropractic or other health professional to evaluate you. I would recommend a sports injury chiropractor ( see http://www.acbsp.com for sports chiropractors) to evaluate and perhaps treat or refer you. The above mentioned conditions are possibilities, given your description to me.
Q) DO you have any idea what this is and how i may have done this?
A) See above, given your description: Perhaps you have a costochondritis, perhaps you have an intercostal muscle sprained/strained. perhaps you have a subluxated rib or two, perhaps a pectoral muscle strain/sprain.
Q) Is this permanent?
A) Probably NOT, but you need an evaluation by a health professional, I recommend a Doctor of Chiropractic with sports injury credentials, orthopedic, or rehabilitation credentials ( chiropractic specialty boards: http://www.amerchiro.org/pdf/ApprovedChiropracticSpecialtyPrograms.pdf )
Q) Is it a lifelong issue?
A) Probably NOT a lifelong issue, given appropriate evaluation and treatment.
Q) Can i ever exercise again without injuring the area or making in worse?
A) Probably YES- after appropriate evaluation and treatment.
Again, I recommend a Doctor of Chiropractic (ie: DACBSP), who will evaluate, possibly adjust, physical therapy the area, and perhaps Kinesio Tape the area for support.
In my Staten Island Chiropractic office, I utilize different information handout sheets- these may be helpful to you:
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PAIN
Pain is a 憆ed light on the dashboard?
Pain is your body telling you that something is wrong.
That RED LIGHT on the dashboard of your car- -- do you ignore it until the car breaks down, or do you get it checked and correct the problem?
Pain,
pain in your body-
-- do you ignore it until your body breaks down, or do you get it checked and correct the problem? Pain, do you cover up the pain by taking a painkiller? Take a painkiller, mask the pain, and allow a problem to progress in your body?
NOTICE ON PAIN RELIEVERS:
Label changes ORDERED by FDA; the FDA announced proposed label changes for OTC over-the-counter pain relievers to include the potential for stomach bleeding and liver damage (FDA news 206- 207; 12-9-06) ;
The American Heart Association issued a scientific statement recommending medical doctors change the way they prescribe OTC pain relievers from a first choice to an alternate of recommending non-pharmacologic treatment (AHA statement 2-26-07).
NSAID Acceleration of ARTHRITIS; an important side effect of Aspirin and other NSAIDS is that it will inhibit cartilage repair and accelerate cartilage destruction ( Journal of Rheumatology, 1982; 9: 3- 5 ). Many times people take NSAIDS for the pain of Arthritis, not realizing these drugs may make the underlying condition worse. These medications cover up the pain, and cause the problem to worsen.
Pain can often be the result of the Vertebral Subluxation Complex.
Vertebral Subluxation ( 慥SC?, 憇ubluxation? )
Vertebral Subluxation is actually a quite common condition. Doctors of Chiropractic look for pathological conditions which may require referral to other specialties, and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system (the master control system- ALL health disciplines learn this). VSC- 慡ubluxation??can be the cause of many symptoms and conditions.
Only a Doctor of Chiropractic will evaluate and treat for VSC, as well as other pathology.
The course of VSC is highly variable. Some patients with VSC literally cannot walk, yet other patients with similar test findings may be able to run marathons or lift heavy weights. Some patients immediately develop symptoms related to the VSC, some patients take years to develop symptoms. Some people suffer for only a few days with pain and symptoms, some people suffer for months. Some people recover in days, some take months or years, depending upon severity of the condition.
A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.
The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position. When subluxated, joints are in a stressed, vulnerable, compromised condition. Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.
Vertebral Subluxation cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone. Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction- - - a manipulation, best performed with the chiropractic adjustment.
Dr. Victor E. Dolan, Doctor of Chiropractic; Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST Chief of Chiropractic in a Hospital in New York State (DHSI); As Seen in PREVENTION Magazine
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The above handout is especially applicable if there is some type of rib subluxation--- if your rib(s) are subluxated- either at the chest or spine, a Doctor of Chiropractic could evaluate and trat for this CAUSE of pain,,, rather than masking the problem with painkillers.
For future reference, in case you were to injure yourself in the future:
P.R.I.C.E. =
P protection. R rest. I ice. C compression. E elevation.
Hurt yourself ?? injury/ trauma/ bruise/ not even sure - - a broken bone ??
You should certainly get to the Doctor or trained health professional to be examined if you think it is bad enough. BUT in the meantime, some simple steps may help.
PRICE.
The PRICE protocol will usually help just about any musculoskeletal injury.
P = Protection; protect the area from further injury- stop what you are doing, can you pad or bandage the area ? Tape the area? Do something to protect the area !
R = Rest; rest the area as much as possible, if a part is damaged, give the body time to repair the area
I = Ice; ice is a potent anti-inflammatory; it will slow swelling, help with pain control (ice is analgesic), place ice over cloth over the injured area for 5, 10 minutes, off the injured area for 30 minutes; then back on again
C = Compression; to help prevent swelling compression may be helpful- for example if it is an ankle, wrap the ankle with an ace bandage and ice the area. Many body parts may not be applicable to compression.
E = Elevation; again to fight swelling and pain, raising the injured body part above the heart may be helpful- ie raise an ankle or knee, you lay down, raise the injured part
PRICE may help : Sprains, Strains, musculo-skeletal injury, bruise, contusion
Sometimes a slip, trip, fall, heavy lift, athletic injury, or a motor vehicle accident can cause a bump or bruise, sprain or strain. Sometimes also involved with the injury is a vertebral subluxation (or other joint subluxation) (subluxation is a mechanical problem- of any joint- and requires a mechanical correction). In the spine, a sprain/strain is a misalignment, a 慿ink?in the joint, a stretch of the muscles, tendons and/ or ligaments:- more properly termed a Vertebral Subluxation. Sometimes symptoms can come immediately, sometimes days, weeks or even months later!- Well after the actual trauma !!!
Spinal = Vertebral Subluxation Complex (a.k.a. 憇ubluxation? ; ( subluxation COULD be any joint )
The vertebral subluxation complex is the underlying cause of many healthcare problems.
A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.
This is a serious condition identified by its five parts:
Spinal Kinesiopathology:
This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.
Neuropathophysiology:
Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.
Myopathology:
Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.
Histopathology:
A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.
Pathophysiology:
Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.
The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.
Automobile accidents, improper lifting, improper posture, alcohol, emotional stress, chemical imbalances, and long periods of sitting can cause the Vertebral Subluxation Complex.
Vertebral Subluxation cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone. Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction- - - a manipulation, best performed with the chiropractic adjustment. For good health- Treat the Cause, not just the Symptoms. Sprain/ strain/ bump/ bruise?= may result in subluxation of the nearby joint. CORRECT the subluxation !!!!
Dr. Victor E. Dolan, Doctor of Chiropractic; Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST Chief of Chiropractic in a Hospital in New York State (DHSI); As Seen in PREVENTION Magazine
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I hope the above helps. If further info is needed, do not hesitate to
re-contact me here at AllExperts.com
( http://allexperts.com/ep/965-100794/Chiropractors/Victor-Dolan-DC-DACBSP.htm )
Thank You, your Staten Island Chiropractic friend signing off,
Dr. Victor Dolan, DC
http://drvictordolan.chiroweb.com (email newsletter)
